Displaying 108021-108030 of 1611142 results.
ID:
108021
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108022
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108023
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108024
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108025
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108026
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108027
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108028
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108029
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
108030
Formulary ID:
00021040
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
108021108022108023108024108025108026108027108028108029108030